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Home My WebLink About2016-00033 - mechanical CITY OF ORONO * 2 0 1 6 - 0 0 0 3 3 * ' 2750 KELLEY PARKWAY DATE ISSUED: OU1U2016 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3480 SHORELINE DR PIN : 17-117-23-43-0093 LEGAL DESC : NAVARRE HEIGHTS : LOT 017 BLOCK 006 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,446.00 NOTE: REPLACE HEATING SYSTEM(LENNOX) APPLICANT MECHANICAL 50.00 SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 1.72 1408 NORTHLAND DR- SUITE 310 MAIL-IN FEE 2.00 MENDOTA HEIGHTS,MN 55118- TOTAL 53.72 (952)881-9000 Payment(s) CHECK 16316 53.72 OWNER BLOCK,JAMES 3480 SHORELINE DR MINNETONKA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for onty the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days a[any time after work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance with the State Building Code.This permit may be � revoked at any time for due cause. � � �i..��.! �� - � {��i ' .. z�� ,� �') � � ,��-�_� � / � �� i G� � Applicant Permitee Signature Date Issued By Signature Date 1�-3(��'3g �3 .-� z w _ �� FOR CITY USE ONLY �` ", ��`'� City of Orono , // �-0�� P.O.Box 66 Date Received. I �� - Permit# -�'�' ��' ` � � .- �� '� 2750 Kcllcy Parkway � f �� ; Crystal Bay,MN 55323 Approvcd By: ��G � Amount$: �� `� � Phone(952)249-4600 Fax(952)249-4616 � %ti a , �1 y � r '� t', ��,��k�st}��c.�f CITY OF ORONO—MECHANICAL PERMIT `�______.��' (All Commercial permits must bc approvcd by thc Building Official or Inspcctoc and/or Firc Marshall) �GENERAL INFORMATION � 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi ns—Complete calculations, details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures, equipment ratings and identification as to type.marnxfacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit tnust be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs � Replace Job Site/ Owner Information: Site Address: �� Y �.�t.�� I�• Owner: ��'L �,0��. Mailing Address: '�t�U S VI.�Y�.�,l�l��Y- City: � '��`d�- Zip: J�J� �l � Home Phone: Alternate Phone: Contractor Information: � , Contractor: ��_i�' ' �C�1� P7.`t1.vl.z Contact Person: ��l; � 'L2� Address: i�C�� 1 C`�-�'lti.l��,�1�1 I�V. State Bond #: City: �;��,t�l ��,P,i �c�L�� Zip:��' Expiration Date: Phone: ��,��X��I Ul'� Alternate Phone: ❑ Insurance—Clirrent: 1 • �- �' �___ MECHANICAL SYSTEMS BEING INSTALLED r Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERiVIAL? ❑ Yes �No HEATING SYSTEMS Quantity: _ � _ Make: ��,,y�,�l �'� Model: V�I�L��D�/�.��I U P�I.�;� Fuel: Flue Size: Input BTUs: �;�� Output BTUs: CFM: COOLING SYSTEMS Quantity: � � Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ W ood Stove with Fiue/Masonry VENTILATION ❑ No. _ Kitchen Exhaust_ duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (�lust be approved by Fire Ma��shall if proposing to abantlon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . � PERMIT FEE CALCULATIQN(S) � � BASED OFF - 2002 5"rATE STATUE ❑ Yes, this section applies The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excluding the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 1.00 Mail-ln Fee(If Applicable) $ 2.00 Total Permit Fee $ � _ �� PERMIT FEE CALCULATION(S) —JOBS OVER $500.00 j If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) _ ��. �� X .o�zs � � �. �� (contract pricc) (minimum$50.00) 2. STATE SURCHARGE �� . �n1� x .0005 $ j , �JIZ (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMI'T FEE(Add Lines 1-3 Above) $_�3. �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work inclading materials, labor, profit, and other fixed costs. It is the amount to be cl�arged to the customer for the work done. Tf any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the �stimated cost or caat�a�t� price fcr permit fee purpose�. In the �vent that there is a dispute er_ the amount of the job cost, the City may request the subinission of a signed copy of the actual contract. � MECF�ANICAL YERMIT APPLICATION AGREEMENT __� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certities that all statements made on this application are complete, true and correct. A licant's Si nature: �� Date: PP � / ��; � (�l�ti'(�.. (� �j l� �J 3 �:J � � � �� TEl TIME�� CITY OF ORONO CALLED IN INSPECTION N�T�C �Q!�� SCHEDULED �J—L S /,C� �� PERMIT NO. ��--� �� MP��e� ADDRESS ��(/ � �l Q��f%1��/�i�i�� OWNER ' TELEP E NO. ��Z-°��-°�� CONTRACTOR �`' ' � 1 .�in-rt�- � DESCRIPTION �� G'� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � � COMMENTS: � -rJ�<<- �/G��/4�iv.� ,D�'�t��✓J - a � �ew �/4sti�.cc G/U�c �� h�S • C ��`!ay ' o - I�Jo�� t��.e,�5 �-�-/9laLL'� � �. � O //� T /Udt�'JG ��GtGl�6S b� �� 1 G.�►�G�r W - � ,'J✓(Jf'�fi�• .�. d /�� G.ac�er(rcy�i/t��' '_ Q � W � /�i�0/i'1�o�rl�K rtzt�i a/I' U� !.� 4, , � ��7 2� .-�� 6�a - a�a a�s�o J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE a CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: Inspector. �'"'' , White Copyllnspector's File Canary CopylSfte Notice � Q��---f ./ DATE TIME �, CITY OF ORONO C LLED IN � INSPECTION NOTICE SCHEDULED — � PERMIT NO:.�I 5-�� L I..� COMPLETED . ADDRESS _J`-f��'J , .��.J ��-.-Y:� L� . L(/V C. OWNER TELEPHONE NO.� a1-al O-aFS �� CONTRACTOR _ `.JCx Ilt.eYVid�lJ i DESCRIPTION � `'V�``'�- ��UU� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL y'`� 2 OWNERICONTRACTOR TO MEET YOU:_YES_N ` , � , � COMMENTS: �� W - a � J O �. � O � W � Q � 2 W � w � j a W� ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOUflS. ❑ pHOTO TAKEN INSPECTOFi WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h urs in adv�n . 952) 249-46�� OwnedContractor on site: ;�.--� � Inspector. �' ` �'� White Copyflnspector's File `� Canary CopylSite Notice